HomeMy WebLinkAbout2705 VIA COLIMA; ; 83-34-233; PermitCl) z 0 ► C CIC C ... u "' 0
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O I lle(eby affirm that I am llcensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my llcense Is in
full force and effect.
l•c No ______ Class
I hereby amrm lhat I am exempl lrom lhe Conlrac• 10,·s Lunse Law 10< the lollowing reason (Sec 7031.5
Business and Professions Code· Any city Of county which re· quires a permit to conslruct. alter, improve, demolish, or
repair any struclure, prior to its issuance also requires !ht ap-phcant for such permit 10 file a s19ned staieme-nt thal he 1s lttensed pursuant to the pr0Vts10ns ot !he Coouac1or·s lteense Law (Chapter 9 CCWM'leoting w1tt1 SectiOn 7000 ol
Div1s1on 3 of the Busmess ilnd Professions C-ode) or thal is ex-empt therefrom and the bastS-tOf' the allegecl exemphOn Any
VlOlaUon of Sectton 7031 ,5 by an apphcanl fDf a permit sub·
Jects the applicant lo a cMI penalty ot not more than five hun· dre<I dollars ($500).
□ I, as owner ol the property, 0< my employees with wages
as lheu sole compensatten. will do the work, and the struc-ture is not intende<I or ottered 1or sale (Sec. 7044. Business
and Professions Code: The Conlractor's Ltcrnse Law does
not apply lo an owner of property who builds or improves thereon aod who does such work himsell or through his own
employees. provided lhat such improvements are not intend· ed or offered fDI' sale. II, however, the budding or improve-
ment is sold within one year or completion. the owner-builder will have the burden of proving that he did nol build or im·
p<OYe lor the purpose of sale).
D I, as owner of the Pfopef'ty, am exclus~y contracting
with license<! contractors to construct the p,oject (Sec. 70-44, Business and Profess10ns Code: The Conlractor·s License Law does not apply to an owner ot property who builds or im-proves thereon, and who contracts for each projects with a contractor(s} license pursuant to the Contracto(s Ucense Law).
D As a homeowner I am improving my home, and the lollow-ing condiHons e.x,st:
1. The w0<k is being perl0<me<I prior to sale. 2. I have lived in my home tor twelve months
prior to CO<Opletion ol lhis wO<k. 3. I have not claimed this exemption during the last three years.
□ I am exempt under Sec. ______ , 8 & P.C. tor this reason -------------
D I hereby athrm that I ha·-,e a cert1hca1e of consen1
to self-insure, or a cert1l1cate ol Workers
Compensation Insurance. or a cer11hed copy thereof ISec 3800, Labo< Cooel
POI.ICY NO
COMPANY
0 Copy 1s hied w,tn the city
0 Cef11hed capy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completecl 11 lhe perm,1
1s tor one hundred OOllars tS 1001 or less)
0 I certify !hat ,n lhe performance or the wor'M IOf
wt11ch this permit ,s 1ssueo. I shall not employ any
person in any manner so as to beeome sub1ec1 to the Wor1(.ers· Compensa1ton Laiws of Callforma
NOTICE TO APPLICANT If. after makm~ this Ce:rt1
ticate of Exemption. you shouk:I beeome sub1ec1 I?
lhe Workers' Compensa11on prov,s,ons of lhe Llabor Cooe. you must torthw,th comply with such
provisions or 1t11s perm,1 shall be deemed revoked
0 I .hereby atllrm lhal there 1s a cons1ruct1on
1end1nQ aoency tor Int> performance of !he work lo,
wtucn lll•s perm,1 ,s ,ssued (Sec 3097 c,v,1 Code!
Lenders Name ___________ _
Lender·s Address __________ _
USE BALL POINT PEN ONLY & PRESSJtARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
' ; CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT ~/j /1 I I 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST.RO. NEAREST CROSS ST. 'DATE OF APPLICATIONI BUSINESS LICENSE # ~ PERMIT NUMBER
2705 Via O>lima, Carlsbad, CA 92008 4-~ ~ _"fi, 1/'7.., L~...J lfl.OC~ I
. .S'{BOIVISION I ASSESSOR PARCEL NO. V 'Iheclli.~Q:npany CONTRACTORS PHONE • ZONE
'"7?-21 167-340-13 '0 942-6262
OWf'IE'R'S NAME. ' I OWNER'S PHONE
'Ihe Highland;Ompany 942-6262 CONTRACTOf'S ADDRESS LICENSE NO. PLAN 1.0. # B,..OG use CODE 199+ Vil~ Pk wa:~4 #201 -;;;;> c..s. OWNER'S MAILING A001US$ • Encllll.tas, CA 920 B-342407
1991 Village Park Way, 1201, Encinitas, CA 92024 DESIGNER c-'i'79AE AIA STANDARD PLAN# BUILDING SO. FOOTAGE Enviramental Design-/4-90.t/rL.1 ✓. DESCRIPTION OF WORK
YJar.r,-1,r+;nr, 01~~"~ Pk Way, 1201 DESIGNER'S PHONE
50 Plan 1496 s.f. ""--~ .,...; ,&,.-~ f"ZI. 4 1'.>n'>A OA"' -#ft?
------F/P F LR ELEV. NO OCC GP EDU STORIES 'R-3 I .• . vO ~ : --
CENSUS TRACT I GP LANO USE I PARKING SPACE
l#~N7il
GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAO FIRE SPR --AREA ~ CONS/VT .. ~
~N)i7 vO v-LIO vO Nl,{_ Not Valid Unkn ~chine CmifiM
QTY. PLUMBING PERMIT· ISSUE ,.,~ QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER ._g /._;S • Dl::>
// EACH FIXTURE TR AP 1.77 -"-f"' / INSTALL FURN. DUCTS uP TO 100,000 BTU 4-.rn BUILDING PERMIT 01-00·00·8220 ·,1 I I -,-.,._
I EACH BUI LO ING SEWER ?::,,S() OVER 100,000 BTU SIGN PERMIT 01-00·00·B221
I EACH WATER HEATER ANO /OR VENT o:2 S.r BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 c::ld.. I -00
I EACH GAS SYSTEM 1 TO 4 OUTLETS -2 .Sc BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00·00·8222 4,~.60
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223 '-..YO on
EACH INSTAL . ALTER, REPAIR WATER PIPE -~ VENT FAN SINGLE DUCT ~ /Y'l MECHANICAL 01-00·00·8224 /.~ nn
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01·00·0Q·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1.M.QQ-R??l:
TOTI.L MECHANICAL STRONG MOTION 80·92·33·0519 !<l..J 9. -.... ..,
TOTAL PLUMBING I 4-~ Sr. /:3 90 FIRE SPRINKLERS 01 ·00·00-8227
I 5'-QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00-8933
BRIDGE FEE
IOQ NEW CONST EA AMP/SWTIBKR COLLECTORS SCHOOL FEE • DISTRICT
VIM{-Pi PH) 3 PH ~5 IY STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92-22-0519
l PH 3 PH PUMP San Dieguito 80·92·23-0519
REMOOEL.'AL TER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYS) /hrF 4-00 ("')()
CR~DIT DEPOSIT
TOTAL ELECTRICAL I '30 pc TOTAL SOLAR TOTAL FEES PAYABLE I I 0..:2?. 0 f
E•p,ral,on Ew,y perlllll -bytlle8uildingOlllcial-tlle pr0Yt1ton1 of 1h11
___.,.
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" AND DO HEREBY Code shall e•p,re by limitation and bee.,_ null and YOicl tf the buttd,ng or won * AN OSHA ~1 FOR EXCAVATIONS OYER CERTIFY UNDER PENAt:T,rol' t'ERJtlRY THAT ALL INFORMATION HEREON INCLUDING THE 5'0" ~OR CONSTRUCT10N OF DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE tF A PERMIT IS authorized by such permit ,. nol commenced wilhift 1-, days from lhe date ol such STIIUC~ 3 STORIES IN HEIGHT permit or ,f Ille bulldt~or worlc autl>oriad Iii' IIUCh perm11 ,. suspended or ISSUED TO COMPLY WITH ALLCll"t, COUNTY ANO STATE LAWS GOVERNING BUILDING CON• abandoned at anv lime Ille wort ,a~· ~ of 180 "-•
STRUCTION. WHETHER SPECIFIE. D H.EREIN OR NOT I ALSO AGREE TO SAYE INDEMNIFY AND APPLICANT'S SIGNAT~ .,..
CONTRACTOR 0 APPROVED BY 4--· ~~J KEEP HARMLESS THE CITY OF CAM.$8At> AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AN~~ ~ EXPENSES WHICH MAY IN ANY WA¥ ACCAUE AGAINST SAID CITY IN CONSEQUENCE OF THE -
GRANTING OF 1'11S P!fUllfP: • • • / ./[../ / BYPHONE 0 I '/--Jgl/--/
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TYPE I DATE INSPECTOR
BUILDING I /
F• FOUNDATION I ' A II ~d ,rry J l
REINFORCED STEEL / • h '..., l
M MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME ' I
s SHEATHING □ ROOF □ SH'EAR ~
FRAME I r7:?t,;1~,1. -
'I, i: ~ "' . I • / EXTERIOR LATH I m
INSULATION I ' l'>i'-:.S ~ ~ t'.J> J l
INTERIOR LATH & DRYWALL _!) ~-r7.0 .,,
l 1..£1',,, '7~ . -
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PLUMBING I I
SEWER AND BUCO □IPUCO ... ., _.u / I ~ r~,,,,,.,
UNDERGROUND □ WASTE D :WATER"' --. .. -.. ~ -
TOP OUT D WASTE D WATER -r-7-~-~ -~~ :n
TUB AND SHOWER PAN . I ~
GAS TEST ' -,.-41.~ ~ I .. ---D WATER HEATER □ SOLAR WATER
I
ELECTRICAL ' I
□ ELECTRIC UNDERGROUND OIUFFER
ROUGH ELECTRIC I l,,h): ·-.,
□ ELECTRIC SERVICE □ TEMPQRARY , -
□ BONDING □ POOL I
I )
I / MECHANICAL I
D DUCT & PLEM., D REF. PIPING .. -/.rh!J/11,1 ~
HEAT -AIR COND. SYSTEMS I V
VENTILATING SYSTEMS I
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CALL FOR FINAL INSPEG_1:(ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA \(E BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REQ IF INSPECTOR'S INSPECTION CHECKED APPROVAL DATE -.
SOILS COMPLIANCE ,, . -•.
PRIOR TO -
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED .
CONCRETE j
FIELD WELDING I
HIGH STRENGTH ,,
.l,"'. )' ' BOLTS --
~ > ' SPECIAL MASONRY .. ' .. "'-~ > -..
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PILES CAISSONS ' " ,,
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INS~;IO~~RTIFI;TI~N_,_, ... -~-• ._ -... -'j~\
This is to certify that insulation has been installed in confonnance with the """~
current energy regulation, California Administrative Code, Title 25, State of _·
California, in the building located at: •-· . . '
Via Colirna. Carlsbad, CA • '.
Owens/Corni ng 6¼" '
CertainTeed 6 " -\
SITE ADDRESS c2 205
CEILINGS
Batts: Type Fiber gl ass Manufacturer Manville Thickness 6½" R-Value 19
Blown: Type _____ Manufacturer _______ Thickness ~--R-Value __ _
Owens/Corning 3!"
CertainTeed 3½" EXTERIOR WALLS
Type Fiberglass Manufacturer Manville Thickness 4 " R-Value ---11
FLOORS Type _____ ~1anufacturer _______ Thickness R-Value ------
General Contractor ________________ License#
By Title . Date -------------------------------
Schmid Insulation Contractors, Inc. License# 221517 C-2
Title Vice President Date ---------